Keep Calm and Sleep On

Massachusetts General Hospital (Boston, Massachusetts)

CSI Summary

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CSI Presentation

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CSI Toolkit

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Added to Collection

Project Topic

Quiet at night

Hospital Unit

Orthopedics – White 6

CSI Participants

Lauren Caruso, BSN, RN
Hilary Gallant, BSN, RN
Jean Stewart, DNP, RN

Project Goals/Objectives

  1. To improve Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) score for “Quiet at night” 5 percent
  2. To improve patient’s quantity and quality of sleep through sleep menu implementation.
  3. To educate 90 percent of staff nurses on “Quiet at night” HCAHPS question and sleep menu

Project Outcomes

  1. Educated 90% of staff nurses about the project
  2. Provided sleep menu to patients admitted on the unit

Project Overview

Our unit consistently fell just below the Massachusetts General Hospital (MGH) target for our “Quiet at night” HCAHPS score. We knew how important sleep is to well-being, and hoped that improving patients’ sleep through the implementation of a sleep menu would improve our HCAHPS scores. We created a sleep menu, educated staff on the use of the sleep menu and implemented its use.

Unfortunately, we did not see an improvement in our HCAHPS scores, but know how slow-moving that type of change can be. We hope to see an improvement as time progresses. We will also change from a sleep menu to a sleep kit, to eliminate steps in the process of getting interventions to patients and increase compliance. As a result of our work, MGH is creating a hospital-wide sleep kit for all admitted patients.

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The AACN CSI Academy program supports change projects based on quality improvement methods. Although CSI teams seek to ensure linkage between their project and clinical/fiscal outcomes, data cannot be solely attributed to the project and are estimations of impact.